Clinic
Lake Cumberland Regional MHMR Board Outpatient
Lake Cumberland Regional MHMR Board Outpatient was paid $31.14M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T2023, Targeted case management; per month — 29% of everything it billed.
33Billing provider infoLAKE CUMBERLAND REGIONAL MHMR BOARD OUTPATIENT
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1992831713assigned 02/26/2007
33bProvider typeRehabilitation Clinic/Center
28Total paid$31.14M
24GClaims343,320
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in Kentucky
Rank by total paid#3 of 29
Median peer was paid$202K
This provider vs. median154×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 52,250 | $7.27M | |
| 2019 | 46,684 | $4.06M | |
| 2020 | 56,391 | $4.22M | |
| 2021 | 59,550 | $4.98M | |
| 2022 | 50,518 | $4.64M | |
| 2023 | 44,013 | $3.58M | |
| 2024incomplete | 33,914 | $2.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 29% | 28,503 | 25,952 | $9.01M |
| H2020 | Therapeutic behavioral services, per diem | 14% | 24,465 | 2,799 | $4.33M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 49,614 | 34,895 | $3.85M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 11% | 10,894 | 1,627 | $3.44M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 10% | 77,173 | 56,225 | $3.18M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 5.2% | 19,766 | 4,171 | $1.60M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 40,999 | 33,566 | $1.09M |
| H0038 | Self-help/peer services, per 15 minutes | 2.4% | 14,287 | 4,214 | $737K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.3% | 29,290 | 9,497 | $726K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 7,737 | 7,240 | $626K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 9,062 | 7,601 | $553K |
| 90887 | 1.3% | 5,186 | 2,981 | $413K |
19 more codes
| H2011 | Crisis intervention service, per 15 minutes | <1% | 3,224 | $306K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,090 | $288K |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 2,055 | $281K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 1,442 | $161K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,582 | $142K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,237 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,324 | $93K |
| Q3014 | Telehealth originating site facility fee | <1% | 4,110 | $76K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 443 | $46K |
| H0001 | Alcohol and/or drug assessment | <1% | 396 | $33K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 351 | $27K |
| 90785 | <1% | 757 | $6K | |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 52 | $5K |
| 90838 | <1% | 47 | $3K | |
| H0031 | Mental health assessment, by non-physician | <1% | 34 | $2K |
| 90836 | <1% | 47 | $2K | |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 86 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 47 | $1K |
| H0024 | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | <1% | 20 | $839.80 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEWIS, JACK (HR DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lake Cumberland Reg MHMR Board, INC. | Somerset, KY | $140.90M |
| Lake Cumberland Reg MHMR Board, INC. | Somerset, KY | $2.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.